Ebony Desiree Deroche
Ebony Desiree Deroche is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
2052 Tillotson AveBronx, NY 10475-1560
Phone: (718) 671-2100
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 315024 (NY) |
|---|
Record details
| NPI number | 1164859468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2013 |
| Last updated in NPPES | October 1, 2013 |
| Mailing address | 2052 Tillotson Ave, Bronx, NY 10475-1560 |
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